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PROVIDER PROFILE · NPI 1841286671

Denese GaughanCRNP

Nurse PractitionerBaltimore, MDI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
263
Unique beneficiaries
—
Total services
320
Distinct HCPCS
3
Medicare payment
$19K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 4,258 Nurse Practitioner providers in MD — below median (cohort median 389).
PRESCRIBING · PART D · 2024
Total Rx claims
1,126
Beneficiaries
—
Total drug cost
$1.1M
Distinct drugs
23
Brand share
38.4%
Top prescribed drugs
Dexlansoprazole137 claims
Pantoprazole Sodium128 claims
Famotidine127 claims
Esomeprazole Magnesium126 claims
Omeprazole101 claims
QUALITY · MIPS · 2024
Final MIPS score
100.0
Quality
15.6
Cost
71.7
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
1.05%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$1K
Payment records
96
By payment type
Food and Beverage$1K
Education$75
REFERRAL NETWORK

Where Denese Gaughan's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 73 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
NORTHWEST HOSPITAL CENTER, INC.3441,081
John Mackrell
Diagnostic Radiology · Philadelphia, PA
134434
Thelma Lopes
Diagnostic Radiology · Washington, DC
105324
Edward Wolf
Gastroenterology · Baltimore, MD
86221
RUBIN, BERNARD83241
Hafiz Raza
Internal Medicine · Baltimore, MD
76395
Evan Madianos
Diagnostic Radiology · Lancaster, PA
74216
Etagbo Eta
Nephrology · Gadsden, AL
72281
SINAI HOSPITAL OF BALTIMORE, INC.58158
Plmd, Llc
Ambulance Service Provider · Owings Mills, MD
57138
Quest Diagnostics Incorporated Md
Clinical Laboratory · Baltimore, MD
54174
Avverahalli Harish
Internal Medicine · Randallstown, MD
51244
Refers patients to
Outbound — where patients go next
No outbound pairs above the suppression threshold.
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.